PubMed · 157545
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J W Holcroft, S Conti, F W Blaisdell. 1979. Extraanatomic bypass grafts.. https://doi.org/10.1016/s0039-6109(16)41885-2
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With the overall increase in ischemic heart disease (IHD), cases combining arteriosus sclerosis obliterans (ASO) of the lower extremity and IHD are on the rise. Each case is unique and requires the use of various criteria to select between methods of operating. This case involves IHD with low cardiac function, conbined with ASO of the collateral circulation fed to the legs through the internal thoracic artery and a calcified abdominal aorta refractory to anatomical reconstruction. We selected a one-stage operation of axillo-bifemoral bypass grafting and coronary artery bypass grafting. The postoperative course was uneventful, and the patient was discharged on the 23rd day after operation.
We report the case of a 59-year-old male patient who returned to the Hospital with severe pain in the right upper arm, 9 hours after reduction of an anterior dislocation of the right shoulder. A thrombosis of the axillary artery was quickly diagnosed and the rapid treatment allowed revascularisation in the arm without any major consequences.